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1710272976
MATTHEW CHARLES FOUTS
CHICAGO, IL
NPI
1710272976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125059641)
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
Dr. MATTHEW CHARLES FOUTS M.D.
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-6000
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Mailing Address
Dr. MATTHEW CHARLES FOUTS M.D.
4405 THORNBURY DR E
VALPARAISO, IN 46383-0808
Phone number: 219-241-5524
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